Author/Authors :
Arab، Maliheh نويسنده Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran , , Ghavami، Behnaz نويسنده Department of Obstetrics and Gynecology Shariati Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran , , Saraeian، Samaneh نويسنده Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Sheibani، Samaneh نويسنده Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Abbasian Azar، Fatemeh نويسنده Department of Gyneco-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , HOSSEINI-ZIJOUD، Seyed-Mostafa نويسنده Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran ,
Abstract :
Placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. We describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were performed: compression suture (B-Lynch) and a perfusion-decreasing procedure (bilateral uterine artery ligation). We also present the results of a narrative literature review. The double B-Lynch and uterine arterial ligation procedure in cases of abnormal placentation might be strongly considered in fertility preservation, coagulopathy, coexisting medical disease, blood access shortage, low surgical experience, distant local hospitals, and no help.
